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Maine rates for HCPCS 67015

Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.82 / $909.98 / $969.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.51 / $748.67 / $1,144.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.64 / $531.64 / $531.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.87 / $1,095.06 / $1,310.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.01 / $852.72 / $1,308.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.82 / $603.98 / $969.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.52 / $805.50 / $1,146.79